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Home My WebLink About2325 CAMINO ROBLEDO; ; CB000217; Permit01/25/2000 City of Carlsbad Plumbing Permit Permit No:CB000217 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: 2325 CAMINO ROBLEDO CBAD PLUM 2552725800 Lot #: 0 Construction Type: NEW PELZEL RES-GAS & ELEC-BBQ Applicant: PELZEL RODNEY L&N SUSAN 2325 CAMINO ROBLEDO CARLSBAD CA 92009 Status: ISSUED Applied: 01/25/2000 Entered By: RMA Plan Approved: 01/25/2000 Issued: 01/25/2000 Inspect Aratt27 01/25/00 0001 Ql C-PRHT L&N SUSAN 02 47-00 Total Fees:$47.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee e Due:$47.00 .00 .00 0.00 0.00 0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 TOTAL PERMIT FEES $47.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition* of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE O PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated t}y_ Date Business Name (at thta address)Address (include Bldg/Sum* #) Untt No. Phase No. Total # of unitsLegal D«eription Lot No. Subdivision Name/Number Assessor's Parcel #Existing Use Proposed Ufa Nama Addraaa City State/Zip Telephone * Fax # (Sec. 7031.6 Business md Professions Code: Any City or County which require* a permit to construct, after. Improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor'* Licenae Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name State License # Address License Class City State/Zip City Business License # Telephone # Designer Name State License* Address City State/Zip Telephone Workers' Compensation Declaration: I hertby affirm under penalty of perjury one of the fottowfng declarations: Q I have and will maintain a certificate of consent to serf-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q > have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date (THIS SECTION NttD NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [MOO] OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this parmit is Issued, I shall not employ any person in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: FaJhm to secure workers* compensation coverage ta unlawful, end that subject en employer to criminal ponettea and cM) fines up to one hundred thousand doBsrs (4100,000), In addition to the cost of compemetkm, damages ea provided for ai Section 3706 of the Labor code. Interest and attorney'* fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: <0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is add within one year of completion, the owner-builder wHI have the burden of proving that he did not build or Improve for the purpose of sale). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the protect (Sec. 7044, Business end Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number /-contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work): PROPERTY OWNER SIGNATURE Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the »ic pollution control district or air quality management district? Q YES Q NO la the facility to be constructed within 1,000 feet of the outer boundary of e school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there to a construction lending agency for the performance of the work for which this permit to issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify thet I have read the application and state that the above Information to correct and that the information on the plans is accurete. I agree to comply with all City ordinances and State taws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit to required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit to not commenced within 365 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after thejyoijcjt-t$mmenced for a^peripd^M^O d*y>?(Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance / City of Carlsbad Bldg Inspection Request For: 4/27/2000 PermiW CB000217 Title: PELZEL RES-GAS & ELEC-BBQ Description: 2325 CAMINO ROBLEDO Lot 0 Type: PLUM Sub Type: Job Address: Suite: Location: APPLICANT PELZEL RODNEY L&N SUSAN Owner: PELZEL RODNEY L&N SUSAN Remarks: REQUESTED A GAS & ELC Inspector Assignment: TL Inspector: Total Time: CD Description 24 Rough/Topout tri Act Comments //it Requested By: ROB Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 1/26/2000 21 Underground/Under Floor AP TL 1/26/2000 31 Underground/Conduit-Wiring AP TL CONDUIT ONLY